Registration Hotel Reservation

9th INTERNATIONAL PORTAGE ASSOCIATION CONFERENCE

7 - 10 NOVEMBER 2002, PAPHOS, CYPRUS

REGISTRATION & HOTEL RESERVATION FORM

Please print or type in block letters. Tick appropriate boxes and mail or fax to the address at the bottom of the form:

Mr/Mrs/Ms/…… First name:………..………………… Last name:…………………………………

Organisation:……………………………………………………………………………………………………..

Mailing Address:……..……………………………………………………………………………………………

Zip Code:…………..…. City:…...............………... Country:……........……………………

E-mail: ………………………………………… Tel.No: …...…………..…… Fax No: ……………………

CONFERENCE REGISTRATION FEES		REGISTRATION FEES INCLUDE
$450	Before end of June 2002	Reception, Meals, Coffee Breaks, Materials, Gala Dinner, Full Day Excursion (Lunch not included)
$500	After June 2002

HOTEL RESERVATION

PLEASE MARK HERE BELOW WITH "X" TYPE OF ACCOMMODATION REQUIRED:

PRICE	PR
$63.00
$71.00
$75.00

PRICE	PR
$78.00
$84.00
$95.00

Twin room Mountain view (2pax)

Single room mountain view

Twin room Sea view (2pax)

Single room Sea view

Twin room Studio (2pax)

Single room Studio

Total Number of nights .......... X $............. Total $...........

Prices are per person per day and include buffet breakfast, taxes, service charge and current VAT.

METHOD OF PAYMENT

Total Amount Payable (Registration + Accomodation): $............

By Cheque No .......................................... Bank ............................................

Made payable to the CYPRUS PORTAGE FOUNDATION

By Credit Card: VISA/Mastercard

Name of Card Holder:

Card Number:

Signature of Cardholder:

Expiry Date:

Amount:

Date:

RETURN TO: 9th IPA Conference Secretariat, Cyprus Portage Foundation, P. O. Box 20590, 1660 Nicosia, Cyprus, Tel. 357-22481666 / Fax. 357-22485331, E-mail:csjfound@spidernet.com.cy

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